| NPI | 1982820692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 200650078NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 200641723RN) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-02-27 |